Breast Disorders

Question 1

Dx: cyclic breast pain during luteal phase and subsides w/ menses

Answer 1

Fibrocystic

Question 2

Dx: smooth, round, fluid filled, elastic and mobile

Answer 2

breast cysts

Question 3

Dx: firm, round, smooth, mobile with clear margins, painless

Answer 3

fibroadenoma

Question 4

MC cause of nipple d/c

Answer 4

intraductal papillomas

Question 5

Dx: areola enlarged, due to vasc congestion first wk postpartum

Answer 5

engorgement

Tx: COOL, empty breast

Question 6

Dx: milk retention cyst caused by blocked duct

Answer 6

Galactocele

Tx: WARM, cont to breast feed

Question 7

Dx:Painful red wedge shaped distribution, warm, tender, fever, chills. bacterial infection staph or strep

Answer 7

Mastitis

pump and dump - abx dicloxacillin

Question 8

Dx: pitting edema over palpable, fluctuant, tender mass

Answer 8

breast abscess

Question 9

MC type of breast CA

Answer 9

ductal carcinoma

Question 10

P’eau d’orange

Answer 10

swollen, pitted skin surface overlying CA or breast (both stromal infiltration and lymph obstruction)

Question 11

MC site of METS

Answer 11

BONE

Question 12

Risk factors of BCA

Answer 12

early menarche 30
nulliparity
BRCA
Obese
Race
inactive